Individual
SHIRLEY A FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
879 LAFAYETTE RD, HAMPTON, NH 03842-1258
(603) 929-1195
(603) 929-1196
Mailing address
4 ALUMNI DR, EXETER, NH 03833-2118
(603) 929-1195
(603) 929-1196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14287
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074484
—
NH
Enumeration date
04/07/2006
Last updated
10/16/2025
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